Document Detail


Direct percutaneous approach for endoluminal glue embolization of stomal varices.
MedLine Citation:
PMID:  18440469     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The present report describes the authors' experience with direct endoluminal embolization for bleeding stomal varices. Between December 1998 and July 2006, seven patients with enterostomies, portal hypertension, and recurrent stomal variceal bleeding resistant to medical treatment were treated at a single institution. Ultrasonography was used to guide direct puncture of the varices. Direct endoluminal embolization with cyanoacrylate glue was performed under fluoroscopic control imaging. Embolization was successful in six of seven cases. One patient with hepatocellular carcinoma and complete portal thrombosis had three recurrences treated with the same technique, with clinical success. Three patients died at 3, 8, and 18 months without recurrence of bleeding. Although further evaluation is indicated, direct percutaneous embolization appears to be a potential alternative treatment for bleeding stomal varices.
Authors:
Francine Thouveny; Christophe Aubé; Anselme Konaté; Jérôme Lebigot; Antoine Bouvier; Frédéric Oberti
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Publication Detail:
Type:  Journal Article     Date:  2008-03-17
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  19     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-28     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  774-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Centre Hospitalier Universitaire Angers, 49933 Angers Cedex 09, France.
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MeSH Terms
Descriptor/Qualifier:
Aged
Embolization, Therapeutic / methods*
Enbucrilate / therapeutic use*
Esophageal and Gastric Varices / therapy*
Female
Fluoroscopy
Humans
Iodized Oil / therapeutic use*
Male
Middle Aged
Retrospective Studies
Surgical Stomas / blood supply*
Tissue Adhesives / therapeutic use*
Treatment Outcome
Ultrasonography, Interventional
Chemical
Reg. No./Substance:
0/Tissue Adhesives; 6606-65-1/Enbucrilate; 8001-40-9/Iodized Oil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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